October 26, 2016 2017 E 3 - PowerPoint Presentation

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October 26, 2016

2017 E3 Grant Program Webinar

Dianne Radigan

Vice President, Community RelationsSlide2

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Webinar LogisticsPlease put your phone on mute until you are ready to talk.Please do not put your phone on hold.The presentation will be posted on our website after the October 26

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call.Slide3

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AgendaLogistics for the callOverview/goals for the webinar

Very brief history of the E

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grants and Cardinal Health Foundation’s commitment to fostering excellence in healthcare

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accelerating the rate of change

Focus on outcomes and sharing

Resources available

Grant criteria

Eligibility

Content

Scoring

Tips

QuestionsSlide4

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Goals for the WebinarHelp potential applicants send the very best proposal that is responsive and compelling Answer any and all questionsOpen the door for additional communicationSlide5

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History of E3 Grants

Goal:

Provide resources to help hospitals, systems, clinics and

collaboratives

provide the very best care for patients – improve healthcare efficiency, effectiveness and excellence and save days, dollars and lives.

To help accelerate the rate of change

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Cardinal Health Foundation has invested $8.6m since 2008 for improvement projects

Level of support: $7.5k-35K

Areas of focus have narrowed each year. In 2017 the focus is:

Patients with diabetes and multiple chronic diseases

Best use of medications - especially in transitions to ‘home’

The spread of successful efforts

To engage patients and their families

Saving days, dollars and livesSlide6

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E3 Outcomes 2013-2014 grantees

Senior Independence, Toledo, Ohio

At Senior Independence, registered nurses serve as transition coaches, and provide immediate and close follow-up to Medicare patients, post hospital discharge.

Results:

Reduced 30-day readmission rates to 4.3% (compared to regional average of 14%);

42 readmissions and 202 hospital days saved

Senior Services of Southeastern Virginia, Norfolk, Virginia

This Area Agency on Aging surrounds high-risk seniors with a care team that includes a certified transition coach, the hospital care coordination team and a pharmacist, ensuring coordinated transition of care and medication reconciliation.

Results:

Reduced 30-day readmissions from baseline of 19.6% to 6%

15 readmissions and 94 hospital days saved

       Southwestern Indiana Regional Council on Aging, Inc, Evansville, Indiana Certified social workers serve as transition coaches for high-risk seniors who have chronic diseases, making in-home visits and follow-up phone calls to patients post discharge.Results: Reduced 30-day readmission rates from 20% to 14%; reduced 60-day readmissions from nearly 29% to 18%; 21 readmissions saved32 hospital days saved; Improving transitions to home for post-acute seniorsSlide7

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E3 Outcomes 2013-2014 grantees

Increasing medication safety for patients admitted from the ER

Trinity Medical Center, Rock Island, Illinois

Medication reconciliation nurses collect complete medication histories as soon as patients are admitted to the hospital from the emergency room.

Results:

Increased medication accuracy from 40% to 76%;

prevented adverse drug events due to inaccurate medications for 209 patients.

   Using the WHO Surgical ChecklistNorthShore University Health System, Evanston, IllinoisNorthShore integrated the WHO Surgical Safety Checklist into its existing electronic health record software, increasing overall compliance from 48% to 92%. Results: 32% decrease in perioperative risk events; 8 hospital days saved Virginia Mason Medical Center, Seattle, Washington A multi-disciplinary surgical team developed the rolling wrap-up, a post-surgical process to debrief before the patient leaves the operating room.Results: 24 hospital days saved.Slide8

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E3 Outcomes 2013-2014 granteesIncreasing medication safety for older adults

Knute

Nelson Foundation, Alexandria, Minnesota

A medication safety program combines transition education, medication reconciliation and continuous, real-time monitoring of health conditions.

Results:

Decreased per-person medication count from 15 to 11;

reduced 30-day readmissions from 25% to 19%; 49 hospital readmissions saved

655 hospital days saved

    Increasing access for the under and uninsuredWest Virginia Health Right, Charleston, West Virginia This free clinic partnered with three area hospitals to provide a medical home for nearly 500 uninsured and underinsured patients. Results (for two years of grant funding): 38% reduction in hospitalizations; 67% decrease in ER use 32 readmissions and 213 hospital days saved Slide9

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E3 outcomes 2013-2014 granteesAdding pharmacy services to a multi-disciplinary discharge teamFranciscan St. Margaret Health-Hammond, Mishawaka, Indiana

As part of a multi-disciplinary discharge team, the pharmacist provides medication counseling plus follow up within 72 hours of discharge.

Results:

Follow-up phone calls reduced readmission rates from 22% to 16% 1,813 hospital days saved

Improving outcomes for high-risk chronically ill patients

Trinity Medical Center, Rock Island, Illinois

A continuity-of-care pharmacist service provides medication therapy management and customized interventions for chronically ill home care patients taking nine or more medications per month.

Results:

Improved patients’ ability to manage their medications from 47% to 58%

reduced acute care hospitalizations from 19% to 15%

155 hospital days saved

Trinitas

Regional Medical Center, Elizabeth, New Jersey

Pharmacists provide medication reconciliation and counseling, and address barriers to medication access for chronically ill elderly patients as they transition to home.Results: Reduced 30-day readmission from 18% to 14% 74 hospital days savedSlide10

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Resources Available in 2017Cardinal Health Foundation funding

We anticipate 15-20 grants up to $35k

Requests / budgets should not exceed $35k

Please describe other sources of funding for additional project expenses

Invitation to participate in a Leadership Development program

Invitation to join a learning network and / or a convening of grantees over the course of the year

Applications due December 9thSlide11

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Grant Criteria - EligibilityTax exempt 501(c)(3) organizationsTypically, hospitals, systems, clinics, collaboratives

, ambulatory settings

Include letters of commitment for partner organizations

Applicants can be in the acute or ambulatory setting

If previously funded, a final report or update on work-in-process should be submittedSlide12

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Grant Criteria - ContentVery focused on three areas:Patients with diabetes or multiple chronic diseasesMedication safety across transitions of care from the acute setting to the community/home.

Engaging patients and their families in their care.Slide13

What to measure

Baseline and post intervention forProcess measuresLengths-of-stayReadmissionsPatient clinical outcomesAlso describe how learnings from this work will be sharedSlide14

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Grant Criteria - Scoring0-5 points

0-80 points

0-15 points

Cover letter

Description of the program

Previous experience

Specific objectives

Driver diagram

Timeline

Outcomes anticipated

Letters of commitment for partner organizations

Budget (no Cardinal Health products should be a part of the request) Slide15

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Grant Criteria - TipsLimit the proposal to five pages not including the cover letter, budget, driver diagram and other graphicsFocus on implementing best practices or spread of previously successful efforts

Be very specific about

Previous experience

Baseline data

Protocols

Outcomes anticipated

Include a driver diagram

Include a timeline that addresses all aspects of the work including IRB approval, if needed

Quantify anticipated outcomes in terms of days, dollars and lives potentially savedSlide16

Centers for Medicare and Medicaid Services (CMS) Partnership for Patients:

https://partnershipforpatients.cms.gov

CMS Transforming Clinical Practice Initiative:

https://innovation.cms.gov/initiatives/Transforming-Clinical-Practices/

CMS Quality Improvement Organization-Quality Improvement Network Campaign for Meds Management:

http://www.qioprogram.org/campaign-meds-management

American Institute for Research:

http://www.air.org/project/roadmap-guides-patient-and-family-engagement-healthcare

Patient and Family Engagement in Healthcare:

http://patientfamilyengagement.org/

Healthcare Information and Management Systems; Center for Patient and Family-Centered Care:

http://www.himss.org/library/NEHC

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http://www.himss.org/library/patient-engagement-toolkit

Minnesota RARE (Reducing Avoidable Readmissions Effectively) Campaign:

http://www.rarereadmissions.org

Patient engagement resourcesSlide17

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Additional Opportunity in 2017

American Society of Health-System Pharmacist and Cardinal Health Award for Excellence in Medication-Use Safety

This award honors a pharmacist-led multidisciplinary team for its significant institution-wide system improvements related to medication-use. Three hospitals are recognized with the ‘winner’ receiving a $50,000 award and the two finalists a $10,000 award.

Letter of intent due January 4, 2017

For award information and application materials, visit

www.ashpfoundation.org/excellenceawardSlide18

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Q&ASlide19

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Thank you!